在开放的腰部微分隔切除术后的形态变化,在2年的随访中
Abdullah Talha Şimşek1, Begümhan Baysal2, Baha Eldin Adam1
1Department of Neurosurgery, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, Istanbul Medeniyet University, Istanbul, Turkey.
Journal of back and musculoskeletal rehabilitation
|August 21, 2023
概括
开放的腰部微隔膜切除术 (OLM) 可能会增加,而不是减少,盘高度 (DH) 和孔径大小. 这项研究观察了手术后两年的形态变化,挑战了以前关于OLM结果的假设.
科学领域:
- 脊柱手术的结果 脊柱手术的结果
- 腰部微隔膜切除术的影响
- 脊柱的形态变化 在脊柱的形态变化.
背景情况:
- 开放的腰部微分隔切除术 (OLM) 可能导致盘高度 (DH) 和前尺寸的降低,可能导致长期疼痛.
- 关于微切割术的短期和长期病理解剖学和形态学后果的数据有限.
- 微隔膜切除术后DH变化的确切时间表尚不清楚.
研究的目的:
- 为了研究开放的腰部微分切除术 (OLM) 后的圆盘高度 (DH) 和孔尺寸的形态变化.
- 提供对微隔膜切除术随时间推移所产生的病理解剖学和形态学影响的见解.
主要方法:
- 包括接受单级OLM的腰椎间盘的患者.
- 分析了手术前和2年后的MRI扫描.
- 测量包括双边的圆盘高度 (DH),前面积 (FA),前高度 (FH) 和宽度 (SFW,IFW).
主要成果:
- 在所有脊椎水平上观察到术后显著增加的DH (平均5.5%).
- 包括FH,SFW,IFW和FA在内的形尺寸在2年随访时呈现增长趋势.
- 平均右FH从15.3毫米增加到15.7毫米 (p=0.062),平均左FH从14.8毫米增加到15.8毫米 (p=0.271).
结论:
- 与普遍认为的相反,单级单边OLM可能会导致手术后2年增加DH和孔腔大小.
- 这些发现表明OLM后可能会出现积极的形态变化,需要进一步调查.
- 建议采用更大的样本大小和更长的随访时间来验证这些观察.
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